Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $66.95 / $1,179.90	Facility		$58.70	$66.95	$1,179.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $86.79 / $452.08	Professional		$68.30	$86.79	$452.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $83.55 / $140.27	Professional		$77.06	$83.55	$140.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $125.00 / $150.00	Facility		$96.79	$125.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $101.35 / $173.85	Professional		$70.80	$101.35	$173.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $159.28 / $225.00	Facility		$109.93	$159.28	$225.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $67.40 / $98.96	Professional		$31.18	$67.40	$98.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.57 / $104.99 / $157.60	Professional		$77.57	$104.99	$157.60
United Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $154.00 / $154.00	Facility		$154.00	$154.00	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $79.70 / $136.29	Professional		$59.71	$79.70	$136.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $65.62 / $85.56	Professional		$65.62	$65.62	$85.56